Sop Medical Pc is a Primary Care in Corona, New York. Sop Medical Pc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Sop Medical Pc is 1083805741. The last update date is 2021-04-07.
Sop Medical Pc's current location address is 10211 Roosevelt Ave Ste 4, Corona, New York. You can contact this provider via phone number 7188981386 and fax number 7188981093. The mailing address for Sop Medical Pc is 10211 Roosevelt Ave Ste 4, Corona, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sop Medical Pc |
|---|---|
| Address | 10211 Roosevelt Ave Ste 4, Corona, New York |
| Phone Number | 7188981386 |
| Fax Number | 7188981093 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Florimon De La Rosa Bienvenido Hector |
| Telephone Number | 7188981386 |
NPI Number Detail
| NPI Number | 1083805741 |
|---|---|
| Provider Enumeration Date | 2007-08-07 |
| Last Updated Date | 2021-04-07 |
Provider Mailing Address Detail
| Address | 10211 Roosevelt Ave Ste 4 |
|---|---|
| City | Corona |
| State | New York (NY) |
| Post Code | 113682331 |
| Phone Number | 7188981386 |
| Fax Number | 7188981093 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
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Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2933219 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Sop Medical Pc by the Centers for Medicare & Medicaid Services?
The Sop Medical Pc has been assigned the NPI (National Provider Identifier) 1083805741 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Sop Medical Pc is located?
The Sop Medical Pc is situated at the following address: 10211 Roosevelt Ave Ste 4, Corona, NY, 113682331.
What is Sop Medical Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sop Medical Pc's specialized field of practice is Primary Care, and the corresponding taxonomy code that categorizes this area of specialization is 261Qp2300X.
On what date did the Sop Medical Pc receive its 1083805741 assignment from the Centers for Medicare & Medicaid Services?
The Sop Medical Pc was assigned its 1083805741 by the Centers for Medicare & Medicaid Services on 2007-08-07.
When was the information regarding Sop Medical Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Sop Medical Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-04-07.